1
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NAMES OF REPORTING PERSONS
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Jeffrey Harris(1)
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
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(a)
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☐
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(b)
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☐
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3
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SEC USE ONLY
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4
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SOURCE OF FUNDS (SEE INSTRUCTIONS)
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OO
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5
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CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(D) OR 2(E)
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☐
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Not applicable
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6
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CITIZENSHIP OR PLACE OF ORGANIZATION
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United States
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NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
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7
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SOLE VOTING POWER
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499,134
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8
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SHARED VOTING POWER
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4,743,120
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9
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SOLE DISPOSITIVE POWER
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499,134
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10
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SHARED DISPOSITIVE POWER
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4,743,120
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11
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
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5,242,254
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12
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CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
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☐
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13
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
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20.3%(2)
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14
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TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
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IN
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(1) |
This Schedule 13D is filed by Jeffrey Harris (“Mr. Harris”) and Medici Holdings V, Inc. (“Medici Holdings”, and together with Mr. Harris, the “Reporting Persons” and each a “Reporting Person”). Medici Holdings is an estate planning vehicle
through which Mr. Harris shares ownership with family members of Mr. Harris and for which Mr. Harris may be deemed to have investment discretion and voting power.
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(2) |
Percentage ownership calculation is based on 25,290,270 shares of common stock of the Issuer outstanding as of June 14, 2022, as reported in the Current Report on Form 8-K of the Issuer filed on June 21, 2022 and 489,134 Common Shares
issuable upon the exercise of options by Mr. Harris.
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1
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NAMES OF REPORTING PERSONS
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Medici Holdings V, Inc.(1)
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
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(a)
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☐
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(b)
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☐
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3
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SEC USE ONLY
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4
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SOURCE OF FUNDS (SEE INSTRUCTIONS)
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OO
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5
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CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(D) OR 2(E)
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☐
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Not applicable
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6
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CITIZENSHIP OR PLACE OF ORGANIZATION
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Florida, United States
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NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
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7
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SOLE VOTING POWER
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0
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8
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SHARED VOTING POWER
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4,743,120
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9
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SOLE DISPOSITIVE POWER
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0
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10
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SHARED DISPOSITIVE POWER
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4,743,120
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11
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
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4,743,120
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||||
12
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CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
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☐
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||||
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13
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
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18.7%(2)
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14
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TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
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CO
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(1) |
This Schedule 13D is filed by Jeffrey Harris (“Mr. Harris”) and Medici Holdings V, Inc. (“Medici Holdings”, and together with Mr. Harris, the “Reporting Persons” and each a “Reporting Person”). Medici Holdings is an estate planning vehicle
through which Mr. Harris shares ownership with family members of Mr. Harris and for which Mr. Harris may be deemed to have investment discretion and voting power.
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(2) |
Percentage ownership calculation is based on 25,290,270 shares of common stock of the Issuer outstanding as of June 14, 2022, as reported in the Current Report on Form 8-K of the Issuer filed on June 21, 2022.
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Item 1. |
Security and Issuer.
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Item 2. |
Identity and Background
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Item 3. |
Source and Amount of Funds or Other Consideration
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Item 4. |
Purpose of Transaction
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Item 5. |
Interest in Securities of the Issuer
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Item 6. |
Contracts, Arrangements, Understandings Or Relationships With Respect To Securities Of The Issuer.
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Item 7. |
Material To Be Filed As Exhibits.
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Joint Filing Agreement
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B.
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Amended and Restated Registration Rights Agreement, dated June 14, 2022, by and among New SpringBig, the Sponsor and other holders party thereto (incorporated by reference to the Issuer’s Form 8-K filed on June
21, 2022)
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C.
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Executive Employment Agreement, dated November 8, 2021 by and between SpringBig and Jeffrey Harris (incorporated by reference to the Issuer’s Form 8-K filed on June 21, 2022)
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B.
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Form of Support Agreement (incorporated by reference to the Issuer’s Form 8-K filed on November 9, 2021)
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Date: June 24, 2022
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By:
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/s/ Jeffrey Harris
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Jeffrey Harris
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BY:
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Jeffrey Harris
|
||
ITS:
|
President
|
||
By:
|
/s/ Jeffrey Harris
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